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Organization
KEARFOTT EYE GROUP INC
Active
Organization
KEARFOTT EYE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L KEARFOTT MD (OWNER)
(937) 325-6363
Entity
Organization
Contact information
Practice address
20 S BURNETT RD, SPRINGFIELD, OH 45505-1489
(973) 325-6363
(937) 325-7262
Mailing address
20 SOUTH BURNETT ROAD, SPRINGFIELD, OH 45505-1489
(973) 325-6363
(937) 325-7262
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35055570K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000018159
ANTHEM
—
05
—
0778314
—
OH
01
—
29056317700
BWC
—
Enumeration date
04/28/2006
Last updated
08/25/2008
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